{
"Npi": {
"NPI": "1265462865",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TENISON",
"FirstName": "SHERRY",
"MiddleName": "LYNETTE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "WHNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1208 TAYLOR CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MESQUITE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75181-4234",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-387-8025",
"MailingAddressFaxNumber": "877-289-8708",
"FirstLinePracticeLocationAddress": "617 W MOORE AVE STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TERRELL",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75160-3128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-563-8100",
"PracticeLocationAddressFaxNumber": "877-289-8708",
"EnumerationDate": "07/03/2006",
"LastUpdateDate": "04/11/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "558735",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LX0001X",
"TaxonomyName": "Obstetrics & Gynecology Nurse Practitioner",
"LicenseNumber": "AP107457",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}